NPI 1104129550

Hal Bawden

Practitioner Dentist Montezuma Creek, UT

Practice location

Address: East Highway 262, Montezuma Creek, UT 84534
Phone: (435) 651-3700
Fax: (435) 651-3376
Mailing address: PO Box 130, Montezuma Creek, UT 84511

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 3727839922 (UT)

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Registry record

NPI: 1104129550
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Dec 2010
Record last updated: 11 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.